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DSH150113 COMMUNITY HOSPITAL ANDERSON (Active)
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Main Details
Name
COMMUNITY HOSPITAL ANDERSON
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH150113
Medicare Provider Number
150113
Additional Details
Current Program Status
Active
Registration Date
1/7/2021
Participating Start Date
4/1/2021
Participating Approval Date
3/3/2021
Last Recertification Date
8/12/2024
Contacts
Authorizing Official
Community Health Network
Beth Tharp, SVP/President of Hospital Services
(765) 298-5125
Primary Contact
Community Health Network
Ashley Marie Harlow, Director, 340B and Strategic Pharmacy Revenue
(317) 621-1791
Addresses
Street Address
1515 NORTH MADISON AVE
ANDERSON, IN 46011
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participated starting 7/1/2016, terminated 10/1/2020. Reinstated 4/1/2021.
02/02/2021
April 2025
April 2025
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